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女性退伍军人与亲密伴侣暴力:现有知识状况与未来方向。

Women veterans and intimate partner violence: current state of knowledge and future directions.

机构信息

1 Women Veterans Health Program, VA Boston Healthcare System , Boston, Massachusetts.

出版信息

J Womens Health (Larchmt). 2014 Apr;23(4):302-9. doi: 10.1089/jwh.2013.4513. Epub 2014 Feb 7.

Abstract

Intimate partner violence (IPV) is a serious public health concern for all; however, women who experience IPV are more likely to sustain injury and report adverse health consequences. An expanding body of research suggests that experience of IPV is common in women veterans (WV), particularly those who access Veterans Health Administration (VA) services. With unprecedented numbers of women serving in the military and subsequently becoming veterans, it is critical that clinicians and advocates caring for WV understand the impact of IPV on this population. WV have unique risk factors for experiencing IPV, including high rates of premilitary trauma, as well as military sexual trauma and posttraumatic stress disorder (PTSD). Correlates of IPV, traumatic brain injury (TBI) and homelessness, are common among this group. Although research on WV health and IPV is emergent, evidence suggests that IPV results in multiple health sequelae and increased healthcare utilization. In this context, we next discuss clinical and policy implications for VA. A number of targeted interventions and treatments are available for WV who experience IPV, including evidence-based mental health services. VA is well situated to implement screening programs for WV to facilitate referral to needed services and treatments available both within and outside its facilities. As the population of WV expands, future research will be needed to determine best practices; many avenues of inquiry exist. Finally, WV are strong and resilient; it is crucial that those who work with them recognize evidence of IPV and refer to needed services and evidence-based treatment to enable strength-based recovery.

摘要

亲密伴侣暴力 (IPV) 是所有人都关注的严重公共卫生问题;然而,遭受 IPV 的女性更有可能受伤,并报告不良健康后果。越来越多的研究表明,女性退伍军人 (WV) 中普遍存在 IPV 经历,特别是那些接受退伍军人健康管理局 (VA) 服务的女性。随着越来越多的女性服兵役并随后成为退伍军人,照顾 WV 的临床医生和倡导者必须了解 IPV 对这一人群的影响。WV 有独特的经历 IPV 的风险因素,包括高比例的婚前创伤,以及军事性创伤和创伤后应激障碍 (PTSD)。该群体中常见的 IPV、创伤性脑损伤 (TBI) 和无家可归的相关因素。尽管关于 WV 健康和 IPV 的研究正在出现,但有证据表明 IPV 会导致多种健康后果并增加医疗保健的使用。在这种情况下,我们接下来讨论 VA 的临床和政策影响。有许多针对经历 IPV 的 WV 的干预措施和治疗方法,包括基于证据的心理健康服务。VA 非常适合为 WV 实施筛查计划,以促进向其设施内外提供的必要服务和治疗转介。随着 WV 人数的增加,未来需要研究确定最佳实践;存在许多研究途径。最后,WV 坚强而有韧性;与他们合作的人必须认识到 IPV 的证据,并转介到必要的服务和基于证据的治疗,以实现基于优势的康复,这一点至关重要。

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